Provider Demographics
NPI:1932062734
Name:METZ, KYLIE
Entity type:Individual
Prefix:
First Name:KYLIE
Middle Name:
Last Name:METZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:FLATWOODS
Mailing Address - State:WV
Mailing Address - Zip Code:26621-8044
Mailing Address - Country:US
Mailing Address - Phone:304-364-1063
Mailing Address - Fax:
Practice Address - Street 1:123 CEDAR ST
Practice Address - Street 2:
Practice Address - City:FLATWOODS
Practice Address - State:WV
Practice Address - Zip Code:26621-8044
Practice Address - Country:US
Practice Address - Phone:304-364-1063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-08
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV122890163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse